History of present illness: The patient is a 71 year old, wh…

Written by Anonymous on August 12, 2026 in Uncategorized with no comments.

Questions

Histоry оf present illness: The pаtient is а 71 yeаr оld, white female who has been seen by multiple physicians in this hospital. I saw her as her cardiologist last year. She is now being admitted to my service with complaint of SOB for the last two days at rest, as well as the patient has also indicated that she is having chest heaviness on and off. The patient is known for noncompliance in the past. The patient is oxygen dependent. The patient in the emergency department received Solu-Medrol, Lasix and Levaquin. The patient is not admitted with CHF. The EKG revealed a normal sinus rhythm, with nonspecific ST segment T wave changes. The patient indicated after getting diuretic treatment, she is feeling slightly better. The chest x-ray did not show any infiltrate. She denies any fever or chills; however the patient indicated chest tightness. It is off and on sometimes at rest and with minimal exertion. The patient is usually known for noncompliance and oxygen dependence.The patient is now admitted for further evaluation.Past medical history: Significant for severe COPD with a cor pulmonale. Two liter oxygen dependence at home, insulin dependent diabetes, Implanted pump with narcotic use, history of chronic back problem, depression, peripheral neuropathy, history of right humerus fracture many months ago, which has been treated medically, history of motor vehicle accident in past, cholecystectomy, herniated disk, cataract surgery on right side, osteoarthritis, osteoporosis.Physical Examination: The patient is a morbidly obese, white female in no acute distress.Neck: Unable to assess the carotid bruit, jugular venous distention or thryomegaly. Lungs: Increased AP diameter without any wheezing or rhonchi; however, there were a few crackles at the base.Extremities: 1+ pedal edema with chronic venous stasis changes seen.What is a cardiologist?  

Comments are closed.